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haematology users' handbook - University College London Hospitals

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Routine Haematology (page 2 of 3)<br />

Test Specimen Type Reference<br />

ranges<br />

Fluid Count<br />

(e.g. Pleural,<br />

Ascitic, Knee fluid)<br />

Full Blood Count<br />

(FBC)<br />

Glandular Fever<br />

Screen<br />

Fluid to be<br />

taken into EDTA<br />

or 10 or 20ml<br />

sterile container<br />

4.5ml EDTA<br />

4.5ml EDTA<br />

Can be performed<br />

on FBC sample<br />

or a 4.5 / 7ml<br />

clotted sample<br />

Adult WBC:<br />

3-10 x10 9 l<br />

Neutrophils:<br />

2-7.5 x10 9 /l<br />

Haemoglobin:<br />

11.5-15.5g/dl (F)<br />

13-17 g/dl (M)<br />

MCV: 80-99 fl<br />

Platelets:<br />

150-400 x10 9 /l<br />

Key Factors<br />

affecting tests<br />

Delay in receiving<br />

sample<br />

Clot in sample<br />

Insufficient,<br />

Lipaemic or<br />

Icteric samples<br />

Delayed sample<br />

receipt<br />

Clot in sample<br />

Notes<br />

Please use “Urine/other”<br />

request form-specify type of<br />

fluid<br />

> 1ml blood required<br />

Sample must be received<br />

within 12 hrs of collection<br />

Lipaemic/icteric samples can<br />

affect performance of test and<br />

may delay results<br />

Test can be added on to<br />

existing FBC sample (time<br />

limit: 7 days)<br />

Out of<br />

hours<br />

service<br />

Service for<br />

clinically<br />

urgent<br />

requests<br />

Service for<br />

clinically<br />

urgent<br />

requests<br />

No service<br />

provided<br />

Time Limit for<br />

requesting<br />

additional<br />

tests from<br />

time of<br />

venesection<br />

Within 24<br />

hours<br />

Sample must<br />

be received in<br />

the laboratory<br />

within 12<br />

hours of<br />

collection<br />

Within 7 days<br />

Turnaround time<br />

from receipt of<br />

sample<br />

4 hrs<br />

Urgent:<br />

1 hr<br />

Urgent:<br />

2 hrs<br />

Nonurgent:<br />

8 hrs<br />

Nonurgent:<br />

24 hrs<br />

Immature Platelet<br />

Fraction<br />

Malaria Antigen<br />

Test<br />

4.5ml EDTA<br />

Can be performed<br />

on FBC sample<br />

4.5ml EDTA<br />

Can be performed<br />

on FBC sample)<br />

Clot in sample<br />

Delayed sample<br />

receipt<br />

Clot in sample<br />

Test can be added on to<br />

existing FBC sample<br />

All samples for malaria<br />

antigen tests are referred to<br />

Parasitology for confirmation<br />

-Please send requests for<br />

malaria parasite films and<br />

% parasitaemia directly to<br />

Parasitology laboratory<br />

Service for<br />

clinically<br />

urgent<br />

requests<br />

Service for<br />

clinically<br />

urgent<br />

requests<br />

Within 24<br />

hours<br />

8 hrs<br />

Urgent:<br />

1hr<br />

Nonurgent:<br />

8 hrs<br />

HAEM-PD-UserHbook V8 Haematology and Blood Transfusion User Handbook Page 11 of 38<br />

Authors: Karen Orfinada (Senior Biomedical Scientist)<br />

Sally McDonald (Senior Biomedical Scientist) Authorised by: Dave Barnett Review Date: August 2015

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